Stanford Multidisciplinary Spine Center Inc is a
Neuromusculoskeletal Medicine, Sports Medicine based in Fremont, California. Stanford Multidisciplinary Spine Center Inc is licensed to practice in California (license number G639560) and their current practice location is
43575 Mission Blvd, # 707, Fremont, California. It can be reached at their office (for appointments etc.) via phone at
(510) 657-6366.
NPI number for Stanford Multidisciplinary Spine Center Inc is 1588723431 and their current mailing address is 43575 Mission Blvd, # 707, Fremont, California. Stanford Multidisciplinary Spine Center Inc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1588723431.
Healthcare Provider's Profile
| Full Name | Stanford Multidisciplinary Spine Center Inc |
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| Type | Facility |
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| Speciality | Neuromusculoskeletal Medicine, Sports Medicine |
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| Location | 43575 Mission Blvd, Fremont, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588723431
- Provider Enumeration Date: 12/07/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Stanford Multidisciplinary Spine Center Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588723431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | (California) | Primary |
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | G639560 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stanford Multidisciplinary Spine Center Inc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Stanford Multidisciplinary Spine Center Inc
43575 Mission Blvd, # 707,
Fremont, CA 94539-5831
Ph: (510) 657-6366 | Stanford Multidisciplinary Spine Center Inc
43575 Mission Blvd, # 707,
Fremont, CA 94539-5831
Ph: (510) 657-6366 |
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